Organization
DST DENTAL, LLC
Active
Other names
North Ave Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHAVAL V SHAH D.M.D. (OWNER DENTIST)
(630) 965-8133
Entity
Organization
Contact information
Practice address
1933 FRANCISCAN WAY, WEST CHICAGO, IL 60185-6201
(630) 231-4500
Mailing address
1933 FRANCISCAN WAY, WEST CHICAGO, IL 60185-6201
(630) 231-4500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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